中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2015年
9期
936-938
,共3页
赵志宏%罗俊%金灿%蒋伟坚%田蓓%成均%孙红霞%陆旦洁%李新明
趙誌宏%囉俊%金燦%蔣偉堅%田蓓%成均%孫紅霞%陸旦潔%李新明
조지굉%라준%금찬%장위견%전배%성균%손홍하%륙단길%리신명
冠心病%超声检查 ,介入性%C反应蛋白质%心绞痛
冠心病%超聲檢查 ,介入性%C反應蛋白質%心絞痛
관심병%초성검사 ,개입성%C반응단백질%심교통
coronary disease%ultrasonography,interventional%C-reactive protein%angina pectoris
目的：探讨老年冠状动脉临界病变血管内超声斑块影像学特征与血清高敏C反应蛋（hs‐CRP）的关系。方法选择慢性稳定性心绞痛患者97例，男性40例，女性57例，均行冠状动脉造影，冠状动脉临界病变予以血管内超声检查，评估斑块性质，检测血清hs‐CRP ，对患者冠状动脉临界病变超声特征行进行分析。结果男性较女性患者平均年龄高[（66．5±9．9）岁 v s （62．8±10．9）岁]，斑块负荷低[（62．20±8．60）％ v s （67．30±10．10）％]；男女性纤维成分最多[（55．18±13．13）％ vs （58．30％±10．39）％]；钙化成分最少[5．64±5．61 vs 4．86±3．73]。男女性血清hs‐CRP为（8．5±10．1）mg／L和（6．5±6．4）mg／L。斑块纤维成分、纤维脂质、坏死成分和钙化成分均与hs‐CRP无相关性。结论慢性稳定性心绞痛患者冠状动脉临界病变时，hs‐CRP与冠状动脉斑块性质无相关性。
目的：探討老年冠狀動脈臨界病變血管內超聲斑塊影像學特徵與血清高敏C反應蛋（hs‐CRP）的關繫。方法選擇慢性穩定性心絞痛患者97例，男性40例，女性57例，均行冠狀動脈造影，冠狀動脈臨界病變予以血管內超聲檢查，評估斑塊性質，檢測血清hs‐CRP ，對患者冠狀動脈臨界病變超聲特徵行進行分析。結果男性較女性患者平均年齡高[（66．5±9．9）歲 v s （62．8±10．9）歲]，斑塊負荷低[（62．20±8．60）％ v s （67．30±10．10）％]；男女性纖維成分最多[（55．18±13．13）％ vs （58．30％±10．39）％]；鈣化成分最少[5．64±5．61 vs 4．86±3．73]。男女性血清hs‐CRP為（8．5±10．1）mg／L和（6．5±6．4）mg／L。斑塊纖維成分、纖維脂質、壞死成分和鈣化成分均與hs‐CRP無相關性。結論慢性穩定性心絞痛患者冠狀動脈臨界病變時，hs‐CRP與冠狀動脈斑塊性質無相關性。
목적：탐토노년관상동맥림계병변혈관내초성반괴영상학특정여혈청고민C반응단（hs‐CRP）적관계。방법선택만성은정성심교통환자97례，남성40례，녀성57례，균행관상동맥조영，관상동맥림계병변여이혈관내초성검사，평고반괴성질，검측혈청hs‐CRP ，대환자관상동맥림계병변초성특정행진행분석。결과남성교녀성환자평균년령고[（66．5±9．9）세 v s （62．8±10．9）세]，반괴부하저[（62．20±8．60）％ v s （67．30±10．10）％]；남녀성섬유성분최다[（55．18±13．13）％ vs （58．30％±10．39）％]；개화성분최소[5．64±5．61 vs 4．86±3．73]。남녀성혈청hs‐CRP위（8．5±10．1）mg／L화（6．5±6．4）mg／L。반괴섬유성분、섬유지질、배사성분화개화성분균여hs‐CRP무상관성。결론만성은정성심교통환자관상동맥림계병변시，hs‐CRP여관상동맥반괴성질무상관성。
Objective To study the relationship between the serum level of hs‐CRP and the nature of coronary atherosclerotic plaques in elderly patients with CHD .Methods Ninety‐seven patients with chronic stable angina pectoris (40 males and 57 females)were included in this study .The na‐ture of their coronary atherosclerotic plaques was assessed by coronary arteriography .Their ser‐um hs‐CRP levels were measured .The relationship between the serum level of hs‐CRP and the na‐ture of coronary atherosclerotic plaques was studied .Results The mean age of males and females was 66 .5 ± 9 .9 years and 62 .8 ± 10 .9 years ,the mean plaque burden was 62 .20% ± 8 .60% and 67.30% ± 10 .10% ,the maximal fibrotic composition accounted for 55 .18% ± 13 .13% and 58 .30% ± 10 .39% ,the minimal calcified composition accounted for 21 .2% ± 13 .8% and 24 .6% ± 12 .45% .T he serum hs‐CRP level w as 8 .5 ± 10 .1 mg/L in males and 6 .5 ± 6 .4 mg/L in females . The fibrotic plaque compositin ,fibrotic fatty ,necrotic and calcified compositions were not related with the serum hs‐CRP level .Conclusion The serum hs‐CRP level is not related with the nature of coronary atherosclerotic plaques in patients with chronic stable angina pectoris .
